Individual provider Active NPI

David Panek

  • Pediatric Pulmonology Physician
  • San Francisco, CA
National Provider Identifier
1770902637
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
D5997368 Issued in CA
Practice address
550 16TH Street, 4TH Floor
San Francisco, CA 94143
Phone
(415) 476-2072
Fax
(415) 476-9278
NPI assigned
Apr 8, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X D5997368 CA
Pediatric Pulmonology Physician 2080P0214X D5997368 CA Primary

Addresses

Primary practice location

550 16TH Street, 4TH Floor
San Francisco, CA 94143

Mailing address

550 16TH Street, 4TH Floor
San Francisco, CA 94143
Phone (415) 476-2072

Other practice location 1

111 Colchester Avenue, Mail Stop 265SM5
Burlington, VT 05401
Phone (802) 847-2700

Other practice location 2

4800 Sand Point Way NE, OC.7.720
Seattle, WA 98105
Phone (206) 987-2174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210802002732 CA Practitioner - Pulmonary DiseasePractitioner - Pediatric Medicine 1658674833 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.89 of 100Reported as group
Quality
81.13
Improvement activities
40
Cost
71.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D5997368CAMDPediatric Pulmonology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Pediatric Pulmonology Current Accepting new patients
University of California San Francisco CurrentSince Jul 27, 2021 Accepting new patients
UCSF Pediatrics Associates Pediatric Pulmonology CurrentSince Jul 27, 2021 Accepting new patients
University of California San Francisco CurrentSince Jul 27, 2021 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 27, 2021 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 27, 2021 Accepting new patients
University of California San Francisco Past Accepting new patients
UCSF Medical Center at Mt. Zion Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

747 52nd St
Oakland, CA 94609
Phone (510) 428-3070

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

550 16th St
Fl 4
San Francisco, CA 94143
Phone (415) 476-5001

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

Interoperability endpoints

  • Direct secure messaging: dpanek193655@direct-ucsfmedicalcenter.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1770902637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 16TH STREET, 4TH FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94143",
            "telephone_number": "415-476-2072",
            "fax_number": "415-476-9278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 16TH STREET, 4TH FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94143",
            "telephone_number": "415-476-2072",
            "fax_number": "415-476-9278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Colchester Avenue, Mail Stop 265SM5",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "05401",
            "country_code": "US",
            "telephone_number": "802-847-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4800 Sand Point Way NE, OC.7.720",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "98105",
            "country_code": "US",
            "telephone_number": "206-987-2174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANEK",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-08",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "D5997368",
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "CA",
            "license": "D5997368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.